Application of local anesthesia for bladder puncture in preventing obturator nerve re-flex during transurethral resection of bladder lateral wall tumors and its impact on bladder function recovery
Objective To explore the application of local anesthesia for bladder puncture in preventing obturator nerve reflex during transurethral resection of bladder lateral wall tumors and its impact on bladder function recovery.Meth-ods The 104 patients who underwent transurethral resection of bladder lateral wall tumors in our hospital from December 2021 to December 2023.The patients were divided into two groups,with 52 cases in each group.The study group(52 ca-ses)received epidural anesthesia combined with bladder puncture local anesthesia,while the control group(52 cases)re-ceived epidural anesthesia alone.The surgical conditions,complications and bladder function recovery were compared be-tween the two groups.Results The indwelling catheter time,hospitalization time,conversion rate to open surgery,bladder perforation rate and obturator nerve reflex rate in the study group were all lower than those in the control group(t=18.198,P<0.001;t=8.384,P<0.001;χ2=5.253,P=0.022;χ2=5.960,P=0.015;χ2=22.061,P<0.001).The immediate continence rate after catheter removal in the study group(38.46%)was higher than that in the control group(17.31%)(χ2=5.786,P=0.016).Conclusion The application of local anesthesia for bladder puncture in bladder sidewall tumor resection has good safety,which can reduce the obturator nerve reflectivity,conversion rate to open surgery and bladder per-foration rate,promoting bladder function recovery.
transurethral resection of bladder lateral wall tumorslocal anesthesia for bladder punctureobturator nerve reflexbladder function recovery
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